Transmural migration of a surgical compress into the stomach after splenectomy: a case report

A surgical compress retained in the abdominal cavity following surgery is a serious problem. Here, we describe a 33-year-old female who was admitted with abdominal pain, vomiting, no passage of gas or feces, and abdominal distension for 3 days. She had a splenectomy at another medical center 4 years previously. An upright plain abdominal film revealed small bowel obstruction with marked small bowel air-fluid levels. The physical examination revealed muscular guarding and rebound tenderness in the periumbilical region. Therefore, a laparotomy was performed. A surgical compress was removed at enterotomy and the final diagnosis was gossypiboma. Because a retained surgical compress may lead to medicolegal problems, it is important to count the material used before and after a surgical procedure to reduce the risk of this problem

Preparation and characterization of magnetic allylamine modified graphene oxide-poly(vinyl acetate-co-divinylbenzene) nanocomposite for vortex assisted magnetic solid phase extraction of some metal ions

WOS: 000363815600019PubMed ID: 26695244Magnetic allylamine modified graphene oxide-poly(vinyl acetate-co-divinylbenzene) (MGO-DVB-VA) was synthesized and used for magnetic solid phase extraction of Pb(II), Cd(II), Cu(II), Ni(II) and Co(II) prior to their determination by flame atomic absorption spectroscopy. The adsorbent surface functional group was characterized by using FT-IR and Raman spectroscopy. XRD pattern was used to determine the layers of GO. Surface morphology and elemental composition of the adsorbent were evaluated by using SEM and EDX analysis. Various parameters, effecting adsorption efficiency like initial solution pH, adsorbent dose, type and volume of eluent, volume of sample and diverse ions effects were optimized. The preconcentration factor (PF) is 40 for all the metals and the limits of detection for Pb, Cd, Cu, Ni and Co are in the range of 037-239 mu g L-1 and relative standard deviation below 3.1%. The method was validated by using the method for certified reference materials (Tobacco Leaves (INCT-OBTL-5), Tomato Leaves (1573a), Certified Water (SPS-ww2) and Certified Water (TMDA 64-2)). The method was successfully applied for natural water and food samples. (C) 2015 Elsevier B.V. All rights reserved.Scientific and Technological Research Council of Turkey (TUBITAK)Mansoor Khan is thankful to the Scientific and Technological Research Council of Turkey (TUBITAK) under "2216 Research Fellowship Programme for Foreign Citizens" for financial support

An analysis of oral radiographic findings and their interpretations in women with eating disorders

AbstractBackground/PurposeEating disorders (EDs) are life-threatening conditions that mainly affect women and can be diagnosed early by dental professionals. The aims of this study were to examine the oral radiographic status of ED patients and compare the performances of dental professionals from different backgrounds in interpreting these findings.Materials and methodsIn total, 72 women with EDs and healthy controls matched by age, sex, educational status, and smoking status were included in the project. Standardized full-mouth intraoral periapical radiography with a bisecting-angle technique and digital panoramic imaging were performed in all participants. Five observers independently interpreted the tooth status, the condition of the periapical tissues, and the third molars.ResultsScores for intra- and interobserver consistency were acceptable and were 0.76 and 0.92, respectively. The ED group consumed a larger daily amount of acidic beverages (P < 0.05) than the controls, and a significant positive correlation was observed between the daily acidic-beverage intake and the frequency of vomiting (P < 0.05). In the ED group, the mean number of teeth with untreated carious lesions (P < 0. 01), particularly in the posterior mandibular region (P < 0.05) and periapical pathologies requiring treatment (P < 0.05), were significantly higher compared with healthy individuals. However, the radiographic depth-progression pattern of the carious lesions was similar in the two groups.ConclusionThe presence of radiographically detectable caries and periapical lesions makes ED patients more susceptible to the risk of losing their functional teeth over time, especially when considered together with their inadequate oral hygiene practices and acidic-beverage consumption. Nonetheless, dental professionals with different backgrounds can interpret such radiographic findings with similar efficiency

Integrating simulation based learning into nursing education programs: Hybrid simulation

BACKGROUND: Hybrid simulation can be developed with mannequins of any fidelity and tabletop simulators with a standardized patient to create a complex, high-level learning activity. OBJECTIVE: The aim of this study is to analyze the effects of a hybrid simulation technique used with nursing students in a scenario about the emergency setting. METHODS: This one-group pre-test post-test model quasi-experimental study was carried out with 39 students in Ankara, Turkey, from October 2014 to July 2015. RESULTS: Nearly all participants reported that the simulation improved their critical thinking, decision-making skills, and self-confidence before the clinical activity and that they felt as though they were real nurses during the activity (94.7%, 97.3%, 84.2%, and 92.1%, respectively). CONCLUSION: The results of this study support the integration of hybrid simulation experiences throughout the nursing curriculum, as evidenced by positive responses from students through the simulation evaluation questionnaire

Analysis of the effects of high-fidelity simulation on nursing students' perceptions of their preparedness for disasters

Introduction: As disasters may occur any time, health care staff and institutions should be prepared to manage these events. The aim of study is to analyze the effects of high-fidelity simulation on the perceptions of senior nursing students regarding their preparedness for disasters. Methods: This study used a pretest-posttest design and was conducted as a quasi-experimental investigation. Results: Slightly less than the half of the students (42.5%) expressed that they were prepared to face a disaster. There was a statistically significant difference in their scores on the Scale of Perception of Disaster Preparedness among Nurses between the pre-intervention and postdisaster stage (p < 0.05). Conclusion: Supporting simulation activities with drills positively affected nurses' perceptions of disasters

Weekly Topotecan for Recurrent Small Cell Lung Cancer - a Retrospective Anatolian Medical Oncology Group Study

Aim: To evaluate efficacy and tolerability of topotecan treatment for recurrent small cell lung carcinoma. Patients and Methods: A total of 62 patients were evaluated retrospectively. Statistical analysis was performed using GraphPad Instat (version 3.05). Results: DFifty five of patients (89%) were male and 7 (11%) were female. Median age was 56.7 +/- 9.3 (34-75). Forty eight of patients (80%) were extensive stage (ES) at the time of diagnosis. Fifty of the patients (80.6 Medical Oncology Clinic) were given median 5.36 cycles of cisplatin-etoposide (2-8 cycles). Time to recurrence was 15.6 +/- 6.13 weeks in patients with limited stage (LS) and 6.3 +/- 3.82 weeks in extensive stage (ES) (p<0.0001). Overall survival was 14.0 +/- 6.08 months in ES and 17.9 +/- 6.88 months in LS. The difference between two groups was statistically meaningful (p=0.0447). The overall survival of the patients was 14.8 +/- 6.43 months (4.5-40 months). In terms of survival, there was no difference between males and females (p=0.1171). In 17 (27%) patients who were refractory to topotecan or in whom progression occurred other chemotherapies were used. Conclusion: Small cell lung cancer is chemosensitive, but recurrences occur in short time. Other chemotherapy regimens are used in progression. Topotecan is one of them. Patients who were young and in whom recurrences occur late had given better response to topotecan. Because of the retrospective nature of the study, we couldn't reach the records exactly and consequently, rate and duration of response couldn't be calculated. In recurrent SCLC topotecan is one of the treatment choices. But both hematological and non hematological side effects should be taken into consideration

Cisplatin plus docetaxel combination in the first-line treatment of metastatic non-small cell lung cancer

Aims. To evaluate activity and toxicity of cisplatin plus docetaxel combination in the first-line treatment of chemotherapy-naive patients with metastatic non-small cell lung cancer